The NREMT depends on the individual states to review and approve EMS curricula and courses to ensure that they meet the standards of the DOT and the NREMT. The EMS Division has a process in place for the review and approval of course curricula and the course itself. In general an EMS Educational Institution follows a four-step process:

The EMS Educational Institution submits a curriculum application [see below] along with the curriculum for review by the EMS Division.

Upon approval by the EMS Division the curriculum will be issued a Curriculum Approval Number.

The EMS Educational Institution submits a course approval application [see below], indicating the approved curriculums that will be used in the course.

The EMS Division will review and issue a Course Approval Number.

We have created a handbook [also available below] that explains the process and offers guidance and examples.

The policy on curricula and course approval can be found in DC DOH-EMS Policy 2011-0015 EMS Curriculum and Course Standards.